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Accident Lnvestigation Coordinating Committee Accident lnvestigation Coordinating Committee Alrcraft Accldent Report 2O1llO1 Final Report on the Accident to Viking Air DHC-6-300, 8Q-TMV Velana International Airport, Maldives 27 May 20L7 Accident Investigation Accident Report: 20L7 llt Coordinating Committee 8Q-TMV accident at Velana International Airoort lntroduction Maldives is a signatory to Convention on International Civil Aviation (Chicago t944) which established the principles and arrangements for the safe and orderly development of international air transport. Afticle 26 of the Convention obligates Signatories to investigate accidents to civil aircraft occurring in their State. This investigation has been conducted in accordance with Annex 13 to the Chicago Convention, the Civil Aviation Act 212012 and the Civil Aviation Regulations. The sole objective of this investigation and the Final Repoft is to prevent accidents and incidents. It is not the purpose of this investigation to apportion blame or liability. The AICC was assisted by the Maldives Civil Aviation Authority (CAA), Trans Maldivian Ainnrays, the Maldives National Defence Force and the Maldives Police Seruice. The recommendations in this repoft are addressed to the C.AA, unless otherwise stated. All times in this report are in local time unless stated otherwise. nme difference between local and UTC is +5 hrs. Mr. Abdul Razzak Idris Chairperson ra+orrns Accldent Investigation Coordinatlng Committee 26 September 2018 Page 2 of 37 Accident Investigation Accident Report: 2017/01 Coordinating Committee 8Q-TMV accident at Velana International Airport Table of Contents Introduction ................................................................................................................................................ 2 Synopsis ...................................................................................................................................................... 5 1 Factual information ........................................................................................................................ 6 1.1 History of the flight ............................................................................................................. 6 1.2 Injuries to persons .............................................................................................................. 8 1.3 Damage to aircraft .............................................................................................................. 8 1.4 Other damage...................................................................................................................... 9 1.5 Personnel information ....................................................................................................... 9 1.6 Aircraft information .......................................................................................................... 10 1.7 Meteorological information ............................................................................................. 13 1.8 Aids to navigation.............................................................................................................. 13 1.9 Communications ............................................................................................................... 13 1.10 Aerodrome and approved facilities ................................................................................ 13 1.11 Flight Recorders................................................................................................................. 13 1.12 Wreckage and impact information ................................................................................. 14 1.13 Medical and pathological information ........................................................................... 15 1.14 Fire ....................................................................................................................................... 15 1.15 Survival aspects ................................................................................................................. 15 1.16 Tests and research ............................................................................................................ 16 1.17 Organisational and management information............................................................. 16 1.18 Additional information ..................................................................................................... 18 1.19 Useful or effective investigation techniques ................................................................. 19 2. Analysis .......................................................................................................................................... 20 2.1 General ............................................................................................................................... 20 2.2 Aerodynamics .................................................................................................................... 22 2.3 Flight crew .......................................................................................................................... 22 2.4 Weather .............................................................................................................................. 22 2.5 Crew training ..................................................................................................................... 22 2.6 Survival Aspects ................................................................................................................. 22 3. Conclusions ................................................................................................................................... 23 26 September 2018 Page 3 of 37 Accident Investigation Accident Report: 2017/01 Coordinating Committee 8Q-TMV accident at Velana International Airport 3.1 Findings .............................................................................................................................. 23 3.2. Causes ................................................................................................................................. 23 4. Safety Recommendations ........................................................................................................... 24 4.1 Recommendations to the MCAA ..................................................................................... 24 4.2 Recommendations to the Operator ............................................................................... 24 4.3 Recommendations to the Type Certificate and Supplementary Type Certificate holders ........................................................................................................................................... 25 5. Appendices .................................................................................................................................... 26 5.1 Flight Release ..................................................................................................................... 26 5.2 Damages to the aircraft ................................................................................................... 28 5.3 List of Abbreviations ......................................................................................................... 37 26 September 2018 Page 4 of 37 Accident Investigation Accident Report: 2017/01 Coordinating Committee 8Q-TMV accident at Velana International Airport Aircraft Accident Report No: 2017/01 Owner Beau Del Leasing Inc Registered Owner Trans Maldivian Airways Pvt. Ltd. Operator Trans Maldivian Airways Pvt. Ltd. Aircraft Type Viking Air (De Havilland) DHC-6-300 Nationality Maldivian Registration 8Q-TMV Manufacturer’s Serial Number 625 Place of Accident North Right Water Aerodrome in Velana International Airport Latitude: 041153N Longitude: 0733210E Date and Time 27 May 2017 at 0835 hrs Synopsis On 27th May 2017, DHC-6 aircraft, registration number 8Q-TMV owned by BEAU DEL LEASING INC and operated by Trans Maldivian Airways was on a chartered flight from Rangali Island resort, Conrad Maldives to Velana International Airport. The flight was conducted in accordance with the visual flight rules (VFR). There were nine passengers, two pilots and one cabin crew on board the aircraft. The accident occurred during landing on the water aerodrome at Velana International Airport. The aircraft, while landing on the North Right Water Runway, touched down on the left float and bounced. After the second bounce, while the aircraft was still airborne, it banked to the right dipping the right wing tip in the water. The aircraft then abruptly veered to the right and crashed. The passengers and crew were able to evacuate before the aircraft submerged completely. No passenger or crew sustained any injuries and they were rescued and safely taken to Hulhumale’ Hospital. The accident site was secured by MNDF Coast Guard personnel and accident investigation was initiated immediately. The aircraft wreckage was salvaged and brought to a secured place for further investigation on the same day. 26 September 2018 Page 5 of 37 Accident Investigation Accident Report: 2017/01 Coordinating Committee 8Q-TMV accident at Velana International Airport 1 Factual information 1.1.1 Background On the previous day (in the evening) the aircraft underwent non-routine maintenance and was released for flight. There were no deferred defects. Prior to the accident, the aircraft had flown a thirty eight minutes (block time) uneventful sector. On the day of the accident both the pilots reported
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